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Business Combinations (Notes)
 12 Months Ended
Dec. 31, 2025
Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]  
Business Combination Business Combinations
During the year ended December 31, 2025, the Company completed several business combinations for total consideration of $4.8 billion.
Acquired assets (liabilities) at acquisition date were as follows:
(in millions)
Cash and cash equivalents$305 
Accounts receivable and other current assets811 
Property, equipment and other long-term assets247 
Other intangible assets525 
Total identifiable assets acquired1,888 
Medical costs payable(32)
Accounts payable and other current liabilities(536)
Other long-term liabilities(355)
Total identifiable liabilities acquired(923)
Total net identifiable assets965 
Goodwill4,295 
Nonredeemable noncontrolling interests(425)
Net assets acquired$4,835 
The majority of goodwill is not deductible for income tax purposes. The preliminary purchase price allocations for the various business combinations are subject to adjustment as valuation analyses, primarily related to intangible assets and contingent liabilities, are finalized.
The results of operations and financial condition of acquired entities have been included in the Company’s consolidated results and the results of the corresponding operating segment as of the date of acquisition. For the year ended December 31, 2025, the acquired entities’ impact on revenues and net earnings was not material.
Unaudited pro forma revenues and net earnings for the years ended December 31, 2025 and 2024, as if the business combinations had occurred on January 1, 2024, were immaterial for both periods.